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NPI Code Detail

MEDICARE: DR. JULIAN LEE-WEN CHIANG M.D.

MEDICARE: DR. JULIAN LEE-WEN CHIANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA38967CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043276363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIAN LEE-WEN CHIANG M.D.
Provider Business Mailing Address
First Line : 236 VALLEY VISTA DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-1650
Country : US
Telephone Number : 805-218-8815
Fax Number : 805-221-6989
Provider Business Practice Location Address
First Line : 1600 N ROSE AVE
Second Line :
City : OXNARD
State : CA
Zip : 93030-3722
Country : US
Telephone Number : 805-218-8815
Fax Number : 805-221-6989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 11/02/2023

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